Countryman, Suzannah Glover

Countryman, Suzannah Glover is an individual health care provider with primary practice located at 7301 Rivers Ave Suite 100, North Charleston SC 29406-4650. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / School is her primary health care specialty. Countryman, Suzannah Glover can be contacted via phone (843) 343-1012.

Contact Information

Primary practice address
7301 Rivers Ave Suite 100 North Charleston SC 29406-4650
Phone: (843) 343-1012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 4662 South Carolina

Profile Details

NPI number 1396172599
LBN Legal business name Countryman, Suzannah Glover
Credentials ED.S., LPES
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2013
Last updated Apr 14th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396172599 NPPES
South Carolina MEDICAID 1588615918

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